关键词: |
Combat casualty care, Decision support systems, Computer programs, Metrics, Safety, Intensive care units, Telemedicine, Risk management, Monitoring, Cdss (clinical decision support software), Patient outcomes, Tele-critical care, Aware software package, Rmf (risk management framework), Icu (intensive care units) |
摘要: |
In combat casualty care environments, decisions about triage, treatment, and evacuation are commonly made quickly, using limited and fragmented data. These decisions are difficult for novice clinicians to make due to lack of situational experience. Enabling critical care experts to be easily and immediately available to inexperienced clinicians using virtual critical care technologies could significantly improve their medical decision making and patient care by increasing process adherence, reducing errors, and improving outcomes. This study aims to determine if implementing a virtual critical care service that utilizes novel clinical decision support software (CDSS) to facilitate daily key quality indicators, process, and outcome metrics will improve patient safety, process adherence, and patient outcomes in a military intensive care unit and thus validate similar findings in civilian medical centers for the military. The study also aims to demonstrate that we can deploy similar technologies and virtual critical care support services to a combat support hospital during a simulated patient care exercise. |